MIA CHWAN KO

PHILADELPHIA, PA
NPI1942613369
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2084N0400X Psychiatry & Neurology, Neurology
(Licence: PA  OS018906)
Enumeration Date2014-06-03
Last Update Date2019-09-26
Business Address
MIA CHWAN KO
5401 OLD YORK RD STE 404
PHILADELPHIA, PA 19141-3046
Phone number: 856-342-2445
Mailing Address
MIA CHWAN KO
1101 E HECTOR ST UNIT 434
CONSHOHOCKEN, PA 19428-2456
Phone number: 646-709-3236
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